Omar David Barbosa Nunez, DMD Valid NPI

Individual provider · Dentist · Lakeland, FL

NPI

1740703230

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

DN22917 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2017-07-17

Last updated

2017-08-02